Anaesthetic Management in a Child for Lipomyelomeningocele Repair - A Case Report

Shreevalli C S | Uthkala B Hegde

Abstract: Lipomyelomeningocele (LMMC) is a closed neural tube defect in which neural elements are incorporated into a spinal lipoma. This can occur in 3-6 patients per 100, 000 live births3. Anesthetising a case of lipomyelomeningocele is challenging due to pediatric age group and systemic involvement. Intraoperatively bradycardia is the most commonest complication occurring during induction of anesthesia. Unexplained hypotension may be due to sudden loss of CSF from dural sac leading to increased craniospinal pressure gradient and hence, brain herniation.4Respiratory complications are common in the postoperative period, especially, in children with Chiari malformation. Complications due to prone position can be prevented with adequate precautionary measures.

Keywords: Lipomyelomeningocele, spinal lipoma, Chiari malformation

Edition: Volume 11 Issue 12, December 2022,

Pages: 1162 - 1163